Inspection on 11/10/05 for Cotswold Lodge

This inspection was carried out on 11th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Cotswold Lodge 15/06/06

Cotswold Lodge 10/02/06

Cotswold Lodge 26/10/04

Cotswold Lodge 26/04/04

Cotswold Lodge 10/12/03

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33 St John`s Church Road

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Cotswold Lodge Coast Road Littlestone New Romney Kent TN28 8SB Lead Inspector Geoff Senior Announced Inspection 11th October 2005 10:00 Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cotswold Lodge Address Coast Road Littlestone New Romney Kent TN28 8SB 01797 367453 01797 367453 cotswold.lodge@craegmoor.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Parkcare Homes (No. 2) Limited Mr Keith Yarnley Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th October 2004 Brief Description of the Service: Cotswold Lodge is registered to provide care and accommodation for up to 8 adults with learning disability. Parkcare Homes no2 (Craegmoor Healthcare ) are the registered providers and Mr K Yarnley is currently the registered manager in the day to day control of the home. The home is a large detached property situated adjacent to the seafront promenade. The accommodation comprises 8 single bedrooms on the ground and first floor. There are no en suite facilities or washbasins in the bedrooms. The service users have access to two day rooms and the kitchen area and the use of 4 WC’s, 3 bathrooms and a shower. Externally there is a reasonably well-maintained garden to the rear of the property that backs on to the local golf course. Local facilities (e.g. shops, pubs, church etc) are approx 1 mile away in New Romney with further facilities in the nearby towns of Ashford and Folkestone. The home has two MPV’s available for residents Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home provides a reasonably clean, tidy, comfortable and varied environment for the service users. Communal areas and bedrooms appeared to be adequately furnished and. reflected service user need, choice and involvement. The Inspector was able to speak with the Manager and staff on duty and observe staff interaction with a number of service users. There was limited opportunity for communication directly with the majority of the service users. The Inspector also viewed a range of records and toured parts of the premises. Any areas where action is required or recommended in order to comply with current National Minimum Standards are incorporated in the report. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. There is a system in place for undertaking pre-admission assessments of prospective service users and an understanding of the need to ensure compatibility with the existing resident group EVIDENCE: With the exception of one recent admission and one departure, the service user group have all lived at Cotswold Lodge for a number of years. The manager is aware of the level of detail required by the NMS relating to admissions. The company admission procedure and process allows for a protracted introduction and assessment period prior to any admission. It includes; offering opportunity for visits, overnight stays and re-evaluation before the final agreement and encourages the involvement of family and representatives in all stages. Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Service users are enabled to make decisions and express choices in their daily life. Risks are generally well managed. The Manager needs to ensure that fully documented justification is in place when restrictions to the freedom of movement and liberty of service users are imposed. EVIDENCE: Service users are given opportunity to express individual and group choices in all matters of daily routine and lifestyle. It was evident from observation and records seen that service users are encouraged to make choices on a daily basis and to express their willingness or reluctance to partake in any given event or activity.. ‘Longer term’ decisions may involve the individual’s family and care manager. Staff were observed interacting with service users in a respectful, friendly and non patronising manner. Efforts were made to include those with limited verbal skills in any interactions. There are reportedly few set routines in the home. A choice of day care programme is offered daily and service users indicate yes or no to inclusion. Risk is regarded by the management as part of living within the home and community. The management undertakes and records where potentially hazardous activities are identified or planned in order that service users can participate in chosen Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 9 activities with appropriate support. Any restrictions imposed also need to be documented. Staff are expected to respect information given in confidence by service users, and handle information about service users in accordance with the home’s written policies and procedures. There was no public display of private or personal information and records are securely stored away from communal areas.. Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 The home offers a range of recreational and leisure activities based on personal needs, wishes and interests. The home encourages service user family contact, visits and participation in the decision-making process. EVIDENCE: The manager reported that due to the complex nature of their presenting problems it is not appropriate for service users to pursue further education or employment opportunities. All day care is recreational with the exception of one college numeracy course attendee. Service users are offered daily access to a range of activities. They are encouraged but not compelled to join in and may decline participation if they so wish. In addition to the range of activities offered residents are encouraged to participate, where able, in domestic and catering tasks. The home makes use of the local facilities and services as far as possible. These are however somewhat limited. They endeavour to maintain good neighbourly relationships within the community but the property is relatively isolated. The home has two unmarked MPVs which are used daily to transport service users to various venues. Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 11 Part funded annual holidays are offered to a caravan site in Hastings. It was reported that service users are free to come and go within and outside the home. Restrictions are placed only in the interests of individual safety and security. Risk assessments should contain justification for any restrictions imposed. Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The system for handling and management of medication is generally sound. Some minor improvements were discussed with the management. EVIDENCE: The arrangements for storage and administration of medication were satisfactory and up to date. The Management agreed to provide for easy access, a protocol for mis-administration and a copy of staff signatures. Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected EVIDENCE: Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected EVIDENCE: Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected EVIDENCE: Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38. The home is well managed and provides a caring and supportive service that promotes development, health and welfare of the service users.. EVIDENCE: There appears to be an open and inclusive atmosphere within the home. The staff and service users have the opportunity to express views and opinions. Staff are offered regular one to one supervision and an annual appraisal from which particular paths for study are been identified. Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 X X X Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cotswold Lodge Score X X 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x DS0000023397.V256902.R01.S.doc Version 5.0 Page 18 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA20 YA9 Good Practice Recommendations Staff guidelines to include protocol for mis administration. Staff signatures to be placed on record for reference with MAR sheets. Staff enable service users to take responsible risks, ensuring they have good information on which to base decisions, within the context of the service user’s individual Plan and of the home’s risk assessment and risk management strategies. Any restrictions on liberty should be justified within the risk assessments. Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cotswold Lodge DS0000023397.V256902.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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